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This seems like such a simple question, but I'm really concerned. Can I safely take Xanax during pregnancy? I've heard different things.

— Laura, Alabama

You've asked a very important question. It can be a difficult decision whether to continue to take a drug during pregnancy, and often clinical research studies don't provide clear and concise information regarding the safe use of a medication during pregnancy.

Xanax (alprazolam) is a drug that is often used for the management of anxiety or panic attacks. Because it also causes drowsiness, it is sometimes used to help people sleep when taken before bedtime.

The United States Food and Drug Administration (FDA) divides drugs into five different categories according to how risky it is to take the drug during pregnancy. Under this system, Xanax is in category D, which means it is not recommended for use during pregnancy. Xanax belongs to a class of drugs called benzodiazepines, which if taken by the mother can enter the fetus through the placenta (the organ that transfers nutrients and waste products between the mother and fetus).

You should talk about the risks and benefits of continuing Xanax with your physician and obstetrician so you can make an informed decision. You haven't said why you are taking Xanax, but your doctor may be able to suggest safer alternatives for you to take during your pregnancy.

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